Ms. Mary Bellamy

22.1-289.035-A

“(Repeat violation) The home-based child care is required to have caregivers undergo a background check every five years. The most recent central registry check for Caregiver #1 and Caregiver #2 are overdue by six months.”

Rule 22.1-289.035-A.

8VAC20-800-70-A

“Before the child’s first day of attendance, parents shall be provided required information in writing. The record for Child #1 did not have documentation of providing parents information whether or not there is liability insurance in force on the family day home operation. Child has been in care for two days.”

Rule 8VAC20-800-70-A.

8VAC20-800-830-A

“Emergency evacuation procedures shall be practiced monthly. An evacuation drill was not conducted in July.”

Rule 8VAC20-800-830-A.

22.1-289.035-A

“The center is required to have caregivers undergo a background check every five years. The most recent central registry check for Caregiver #1 and Caregiver #2 were overdue by a three months.”

Rule 22.1-289.035-A.

8VAC20-800-110-B

“Physical examination and immunization records shall be signed by a licensed physician, physician’s designee, or an official of a local health department. The reports for Child #3 were not signed by a physician, designee or health department official.”

Rule 8VAC20-800-110-B.

8VAC20-800-60-B

“The center shall maintain a separate record for each child with all required information. The record for Child #4 did not have a parent’s employment phone number.”

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Before the child’s first day of attendance, parents shall be provided required information in writing. The parents of Child #1 and Child #2 were not provided in writing provisions of the family day home’s emergency preparedness and response plan.”

Rule 8VAC20-800-70-A.

8VAC20-790-250-F

“Caregivers who work directly with children shall annually complete the department’s health and safety update course. Caregiver #2 has not completed the department’s health and safety update course within the past 12 months.”

Rule 8VAC20-790-250-F.

8VAC20-800-60-B

“(Repeat violation) Children’s records shall have documentation of medical insurance name and policy number. The record for child #1 did not have insurance plan number. The record for child #3 did not have insurance information.”

Rule 8VAC20-800-60-B.

(Repeat Violation) Based on review, provider did not ensure 4 of 5 child records have documentation of required information.

“Evidence: The record for child #2 (start date 12/11/2023) did not have insurance plan number The record for child #3 (start date 1/9/2023) did not have insurance plan number and emergency contact addresses. The record for child #4 (start date 1/25/2021) did not have insurance information. The record for child #5 (start date 9/6/2022) did not have the address for the second emergency contact.”

Rule 8VAC20-800-60-B.

8VAC20-800-110-B

“Based on a review of records and interview, the licensee did not ensure that the record for each enrolled child’ contains a Physical and Immunization reports which are signed by a licensed physician, the physician’s designee, or an official of a local health department. Evidence: The record for child #4 contained an immunization record and physical form which were not signed by a licensed physician, the physician’s designee, or an official of a local health department.”

Rule 8VAC20-800-110-B.

8VAC20-800-60-B

Rule 8VAC20-800-60-B.

8VAC20-790-250-F

“** 2nd Repeat Violation ** Based on a review of records and interview, the vendor did not ensure that each caregiver includes in their annual training, the department’s annual health and safety update course. Evidence: Three caregiver / household member records were reviewed. The record for caregiver #1 did not contain documentation to demonstrate that the department’s health and safety update course had been completed within the last 12 months. When asked, caregiver #1 stated that she had not taken the annual course update in the past 12 months.”

Rule 8VAC20-790-250-F.

22.1-289.035-A

“Based on a review of records and interview, the licensee did not ensure that all employees, undergo a background checks prior to employment or beginning to serve as a volunteer and every five years thereafter. Evidence: Three Provider / Assistant / Household Member records were reviewed. The record for Assistant #2 contained the most recent result s of a Criminal Record Check that were dated 6/19/2028, more than 5 years ago. The licensee confirmed that a more recent Criminal Record Check had not been requested for Assistant #2 .”

Rule 22.1-289.035-A.

22.1-289.036-A

Rule 22.1-289.036-A.

8VAC20-800-100-A

“Based on a review of records and interview, the licensee did not always obtain documentation of a physical examination by or under the direction of a physician prior to a child’s attendance or within 30 days after the first day of attendance. Evidence: Five children’s records were reviewed. The record for child #1, who began attending the family day home 7/17/2023, did not contain the results of a physical examination. The licensee acknowledged that this documentation was not present in the child #1’s record.”

Rule 8VAC20-800-100-A.

8VAC20-800-180-A

“Based on record review and interview, the licensee did not always obtain, for each caregiver and adult household member, a current Report of Tuberculosis Screening form every two years from the date of the first screening. Evidence: Three provider / assistant / Household member records were reviewed. The record for household member #3 contained the most recent results of a tuberculosis (TB) screening which were dated 6/10/2021. The licensee confirmed that she had not obtained more recent result s of a TB screening for household member #3.”

Rule 8VAC20-800-180-A.

8VAC20-800-60-B

Rule 8VAC20-800-60-B.

** Repeat Violation ** Based on a review of records and interview, the vendor did not ensure that each caregiver includes in their annual training, the department’s annual health and safety update course.

“Evidence: Three caregiver / household member records were reviewed. The record for caregiver #1 did not contain documentation to demonstrate that the department’s health and safety update course had been completed within the last 12 months. When asked, caregiver #1 stated that she had not taken the annual course update in the past 12 months.”

Rule 8VAC20-790-250-F.

Based on a review of records and interview, the vendor did not ensure that each caregiver includes int heir annual training, the department’s health and safety update course.

“Evidence: Three caregiver / household member records were reviewed. The record for caregiver #1 did not contain documentation to demonstrate that the department’s health and safety update course had been completed within the last 12 months. When asked, caregiver #1 stated that she had not taken the annual course update in the past 12 months.”

Rule 8VAC20-790-250-F.

8VAC20-790-420-B-5

“Based on a review of the family day home’s Emergency Plan and interview, the Family Day Home’s written emergency plan does not include procedures for Lockdown. Evidence: 1. The written emergency plan did not address lockdown procedures. 2. The licensee confirmed that she used a model form which she did not realize was missing elements required of susbsidy vendors and that the current written plan did not contain lockdown procedures.”

Rule 8VAC20-790-420-B-5.

8VAC20-800-60-B

Rule 8VAC20-800-60-B.

8VAC20-800-180-A

“Based on a review of records and interview, the licensee did not obtain, for every adult household member, a tuberculosis screening within two years from the date of the most recently documented screening. Evidence: Three provider / Assistant / Household Member Records were reviewed. The record for Household Member #2 contained the most recent Tuberculosis screening results which were dated 1/16/2019. The licensee confirmed that household member #1 had not had a more recent screening.”

Rule 8VAC20-800-180-A.

8VAC20-800-60-B

“Based on a review of records and interview, the licensee was unable to demonstrate that all of the required documentation was contained in each enrolled child’s record. Evidence: Three children’s records were reviewed. The records for child #1 and child #3 did not contain a policy number for the child’s medical insurance. The licensee confirmed that this documentation was not present in the children’s records.”

Rule 8VAC20-800-60-B.

8VAC20-800-80-A

“Based on a review of records and interview, the Licensee was unable to demonstrate that within 7 days of the child’s first day of attendance the parent provided Verification of the age and identity of each enrolled child. Evidence: Three children’s records were reviewed. The record for child #1, whose first date of attendance was 9/7/2021, did not contain documentation that the licensee had proof of child #1’s age and identity. The licensee confirmed that this documentation was not in the record.”

Rule 8VAC20-800-80-A.

22VAC40-665-230-H

“Based on a review of records and interview, the licensee did not ensure that each caregiver’s annual training includes the department’s health and safety update course. Evidence: Two caregiver records were reviewed. The record for caregiver #2 contain more than the required annual training hours, but did not include the department’s annual health and safety training update. When asked if caregiver #2 had taken this training, the licensee stated that she had not.”

Rule 22VAC40-665-230-H.

22VAC40-111-70-A

“Based on a review of records and interview, the provider did not ensure that prior to each child’s first day of attendance, the child’s parents are provided in writing the program’s policies for the administration of medications. Evidence: Two children’s records were reviewed during the inspection. The licensee was unable to provide documentation that the parent of child #1 and child #2 received information about the program’s policies for the administration of medication. The licensee stated that she did not have this documentation.”

Rule 22VAC40-111-70-A.